Modern Eyes, LLC
NPI 1548311640ActiveOrganization· Optometrist· Gaithersburg, MD
Optometrist in Gaithersburg, Maryland, registered in NPPES in January 2007. The authorized official on file is Mark P. Borsuk, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548311640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Dec 14, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TA1522 | MD |
| Optometrist, Vision Therapy | 152WV0400X | TA1522 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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